Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $211.15 / $241.92	Facility		$190.53	$211.15	$241.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $229.49 / $402.68	Professional		$189.97	$229.49	$402.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $159.32 / $99,999.99 / $99,999.99	Facility		$159.32	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $323.17 / $459.87	Professional		$207.36	$323.17	$459.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $189.43 / $208.37	Professional		$123.12	$189.43	$208.37
United Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $229.42 / $329.14	Professional		$197.48	$229.42	$329.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $189.43 / $275.51	Professional		$189.43	$189.43	$275.51